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Effects of Protein Source and Amount of Saturated Fat on Insulin Sensitivity, Insulin Secretion, and Disposition Index in Healthy Individuals. 蛋白质来源和饱和脂肪水平对健康人胰岛素敏感性、胰岛素分泌和体质指数的影响
IF 3.8 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2026-03-02 DOI: 10.1016/j.tjnut.2026.101458
Meghana D Gadgil, Benjamin M Stroebel, Sarah M King, Nathalie Bergeron, Sally Chiu, Ronald M Krauss

Background: Red and processed meat intake is associated with type 2 diabetes (T2D) incidence, whereas plant-based protein has inverse associations. There is limited knowledge of white meat intake and its effects on T2D risk. Intake of saturated fatty acids (SFAs) may modify these associations.

Objectives: Our objective was to assess the effects of controlled intake of red meat, white meat, and nonmeat protein sources and concentration of SFAs, keeping weight stable, on glucose homeostasis measures, including disposition index.

Methods: Secondary analysis was performed of a subset of participants (n = 46) who underwent frequently sampled oral glucose tolerance testing from a randomized, controlled crossover diet intervention trial (n = 113 in main trial) including adults without cardiovascular disease or diabetes. Diet interventions assessed effect of concentration of SFAs (14% compared with 7%) in 2 arms, and protein source (12% red meat, white meat, and nonmeat) in a crossover design with 4-wk feeding periods and 2-7-wk washout periods. Insulin sensitivity, insulin secretion rate, and disposition index were assessed using linear mixed models.

Results: There were no baseline differences in participant demographic and clinical variables between the 2 SFA arms. We found no significant differences in insulin sensitivity or static and dynamic insulin secretion rate and disposition index by protein source or concentration of SFA (P > 0.05).

Conclusions: In a short-term diet intervention trial in healthy individuals, neither protein source nor concentration of SFAs significantly affects disposition index as a proxy for diabetes risk. This trial was registered at clinicaltrials.gov as NCT01427855.

背景:红肉和加工肉类摄入与2型糖尿病(T2D)发病率相关,而植物性蛋白质则呈负相关。关于白肉摄入及其对糖尿病风险的影响的知识有限。摄入饱和脂肪酸(sfa)可能会改变这些关联。我们的目的是评估控制红肉、白肉和非肉类蛋白质来源的摄入和SFAs水平,保持体重稳定,对葡萄糖稳态测量的影响,包括处置指数。方法:对随机对照交叉饮食干预试验(主试验中为113例)中经常抽样进行口服葡萄糖耐量试验的参与者(n=46)进行二次分析,其中包括无心血管疾病或糖尿病的成年人。在为期四周的喂养期和2-7周的洗脱期的交叉设计中,饮食干预评估了两组中sfa水平(14% vs. 7%)和蛋白质来源(12%的红肉、白肉和非肉)的影响。采用线性混合模型评估胰岛素敏感性、胰岛素分泌率和处置指数。结果:两个SFA组在参与者人口学和临床变量方面没有基线差异。我们发现不同蛋白质来源和SFA水平对胰岛素敏感性、静态和动态胰岛素分泌率和处置指数均无显著差异(p < 0.05)。结论:在一项针对健康个体的短期饮食干预试验中,蛋白质来源和SFAs水平均未显著影响作为糖尿病风险代理的处置指数。该试验在Clinicaltrials.gov注册为NCT01427855。
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引用次数: 0
Tart Cherry Supplementation Has Greater Osteogenic Effect on Adult and Aging Bone of C57BL/6 Female Mice than Treadmill Running. 酸樱桃对C57BL/6雌性小鼠成骨和衰老骨的成骨作用优于跑步机。
IF 3.8 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2026-03-02 DOI: 10.1016/j.tjnut.2026.101453
Brenda J Smith, James Bothwell, Kendall Brown, Tiffany Brewster, Bryant H Keirns, Jon Ice, Daniel Lin, Jerry Ritchey, Bruce R Cooper, Edralin A Lucas

Background: Independently, diet and exercise can benefit bone health, but they are seldom studied in combination.

Objectives: We investigated how dietary supplementation with tart cherry (TC) alone and in combination with exercise affects bone, and whether this response differs with age.

Methods: Two cohorts of female C57BL/6 mice (6 wk old; n = 12 mice/group and 60 wk old; n = 14 mice/group) were assigned to diets (control vs. with TC diet) and exercise (with vs. without treadmill running) for 8 wks. Bone microarchitecture, biomechanics, and gene expression of regulators of bone cell differentiation and activity were assessed. Data were analyzed using 2-way analysis of variance followed by post hoc testing. Diet effects on serum untargeted metabolomics were analyzed using unpaired t-tests. For all analyses, α = 0.05.

Results: Diet and exercise differentially affected young and aging mice. Both TC (P < 0.0001) and exercise (P < 0.05) independently increased femoral trabecular bone in young mice. Although exercise failed to increase cortical parameters, it improved bone strength. In the aging cohort, TC treatment improved cortical thickness (P < 0.05) and biomechanical properties of the femur. The effects of TC and exercise were not additive in either cohort. Within the bone of young mice, TC increased (P < 0.01) the expression of bone morphogenetic protein 2 (Bmp2), a regulator of osteoblast differentiation and decreased (P < 0.01) matrix metalloproteinases (Mmp8 and Mmp9), involved in bone matrix degradation. In the aging mice, TC increased (P < 0.05) regulators of osteoblast differentiation (Osterix and Bmp2), and TC and exercise independently increased collagen type 1A, indicative of osteoblast activity. Metabolomics revealed increases in xenometabolites from TC and the gut microbiota (e.g., hippuric acid, methyltyrosine, and methylgalactoside) in both cohorts, which positively correlated with bone parameters.

Conclusions: We conclude there was no added benefit of combining TC with the running protocol used in this study. TC had a pronounced osteogenic effect in both age groups and metabolomic profiling revealed new potential mechanisms by which its bone effects are mediated.

背景:饮食和运动可以单独有益于骨骼健康,但很少将它们结合起来研究。目的:我们研究饮食补充酸樱桃(TC)单独和联合运动对骨骼的影响,以及这种反应是否随年龄而不同。方法:两组雌性C57BL/6小鼠(6周龄,n=12只/组;60周龄,n=14只/组)分别进行8周的饮食(对照组vs. TC饮食)和运动(有跑步机跑步vs.不跑步)。评估骨微结构、生物力学和骨细胞分化和活性调节因子的基因表达。数据分析采用双因素方差分析和事后检验。采用非配对t检验分析饮食对血清非靶向代谢组学的影响。对于所有分析,alpha=0.05。结果:饮食和运动对幼龄和老龄小鼠的影响存在差异。结论:我们得出结论,TC与本研究中使用的跑步方案联合使用没有额外的益处。TC在两个年龄组中都有明显的成骨作用,代谢组学分析揭示了其骨作用介导的新的潜在机制。
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引用次数: 0
Sweet Taste Genetic Risk Score and Alignment to Diet Quality among Puerto Rican Adults in Massachusetts 马萨诸塞州波多黎各成年人的甜味遗传风险评分及其与饮食质量的一致性。
IF 3.8 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2026-03-01 Epub Date: 2026-01-16 DOI: 10.1016/j.tjnut.2026.101369
Sachelly Julián-Serrano , Hugo Pomares-Millan , Kelsey M Mangano , Sabrina E Noel , Wenjun Li , Julie E Gervis , José M Ordovás , Chao-Qiang Lai , Katherine L Tucker

Background

Genome-wide association studies (GWAS) have identified single-nucleotide polymorphisms (SNPs) associated with perception to sweet taste. The influence of genetic predisposition to sweet taste on diet quality remains poorly understood.

Objectives

This study aimed to compare cross-sectional associations between a genetically driven sweet taste polygenic score (PGS) and alignment with diet quality indices in a cohort of Puerto Rican older adults residing in the Boston area.

Methods

We used baseline data from Boston Puerto Rican Health Study participants with complete genetic and dietary data (n = 583). A weighted sweet taste PGS was constructed using 38 SNPs from published GWAS with perceived intensity sweet taste outcomes (aspartame, fructose, glucose, neohespedirin dihydrochalcone, sucrose, and sweet substances). We derived 3 diet quality indices using data from a food frequency questionnaire validated for this population: Alternate Healthy Eating Index-2010 (AHEI-2010), Dietary Approaches to Stop Hypertension (DASH), and Mediterranean diet (MeD). Multiple linear regression models between sweet taste PGS and diet quality indices were used to estimate associations and 95% confidence intervals (CIs).

Results

There were 428 females and 155 males, with mean age 52.2 ± 7.5 y. The PGS ranged from 30.0 to 50.1, mean (SD): 39.9 (3.4). There was an inverse association between PGS and DASH: β (95% CI) −0.03 [−0.05, −0.004, false discovery rate (FDR) = 0.06], but no association was observed with AHEI-2010: −0.02 (−0.04, 0.008), FDR = 0.19; or MeD: −0.02 (−0.04, 0.01), FDR = 0.19. Across all diet quality indices, higher sweet taste PGS was associated with lower alignment to recommendations for whole grain and vegetables. It also tended to be associated with lower intake of nuts/legumes in the AHEI-2010.

Conclusions

In Puerto Rican adults, higher sweet taste PGS was associated with lower DASH diet quality, but not the AHEI-2010, or MeD, and with lower intake of whole grains, vegetables, and possibly, nuts/legumes. More research is needed on taste perception and dietary intake across populations to inform future intervention.
背景:全基因组关联研究(GWAS)已经确定了与甜味感知相关的单核苷酸多态性(snp)。甜味遗传倾向对饮食质量的影响仍然知之甚少。目的:比较遗传驱动的甜味多基因评分(PGS)与居住在波士顿地区的波多黎各老年人队列饮食质量指数之间的横断面关联。方法:我们使用波士顿波多黎各健康研究参与者的基线数据,包括完整的遗传和饮食数据(n=583)。利用已发表的38个snp构建加权甜味PGS,这些snp具有感知强度的甜味结果(阿斯巴甜、果糖、葡萄糖、新hespediin二氢查尔酮、蔗糖和甜味物质)。我们从对该人群进行验证的食物频率问卷数据中得出三个饮食质量指标:替代健康饮食指数-2010 (AHEI-2010)、预防高血压的饮食方法(DASH)和地中海饮食(MeD)。使用甜味PGS与饮食质量指标之间的多元线性回归模型估计相关性和95%置信区间(ci)。结果:女性428例,男性155例,平均年龄52.2±7.5岁,PGS 30.0 ~ 50.1,平均(SD): 39.9(3.4)。PGS与DASH呈负相关:β (95% CI) -0.03 (-0.05, -0.004, FDR=0.06),但与AHEI-2010无相关性:-0.02 (-0.04,0.008),FDR=0.19;或MeD: -0.02 (-0.04, 0.01), FDR=0.19。在所有饮食质量指数中,甜味PGS越高,对全谷物和蔬菜的推荐摄入量越低。在AHEI-2010中,它也倾向于与坚果/豆类摄入量较低有关。结论:在波多黎各成年人中,较高的甜味PGS与较低的DASH饮食质量有关,但与AHEI-2010或MeD无关,并且与全谷物,蔬菜,可能还有坚果/豆类的摄入量较低有关。需要对人群的味觉和饮食摄入进行更多的研究,以便为未来的干预提供信息。
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引用次数: 0
Impact of Mandatory Grain Fortification With Folic Acid on Population Folate Concentrations and the Risk of Folate Deficiency and Insufficiency: A Systematic Review and Meta-Analysis 强制性谷物强化叶酸对人群叶酸浓度和叶酸缺乏和不足风险的影响:一项系统综述和荟萃分析。
IF 3.8 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2026-03-01 Epub Date: 2025-12-27 DOI: 10.1016/j.tjnut.2025.101291
Jessica Parker , Amanuel Kisho , Shuaikang Hou , Michael Goodman , Lauryn Cravens , Mary Ellen Grap , Helena Pachón

Background

Wheat flour, maize flour, and rice (i.e., grain) fortification with folic acid is an important folate dietary source globally. There are no systematic reviews or meta-analyses evaluating the effect of mandatory grain fortification on folate insufficiency (using serum/plasma folate and red blood cell [RBC] folate), or folate deficiency using RBC folate.

Objectives

This study aimed to assess the effectiveness of mandatory grain fortification with folic acid on serum/plasma folate and RBC folate concentrations and the risk of folate deficiency and insufficiency based on these biomarkers.

Methods

We searched PubMed and Embase with assistance from a professional library informationist. We selected studies from countries with mandatory grain fortification that include folic acid in standards if they reported primary pre- and post-fortification data on folate status outcomes. We ran meta-analyses in R using random effects models with results expressed as meta-differences of means (MDMs) or meta-prevalence ratios (mPRs) for continuous and binary outcomes, respectively. All meta-estimates were accompanied by 95% confidence intervals (CIs).

Results

We screened 4311 documents, identifying 30 articles that reported folate status outcomes (22 reported mean serum/plasma or RBC folate, 17 reported prevalence of folate deficiency or insufficiency). About 19% of studies were conducted in low- or middle-income countries. Mandatory fortification improved folate status, albeit with considerable heterogeneity across studies (I2>73%). For serum/plasma folate concentrations, the MDM across all studies was 15.0 nmol/L (95% CI: 9.4, 20.5). For serum/plasma folate insufficiency and deficiency, the mPR estimates were 0.17 (95% CI: 0.08, 0.37) and 0.08 (95% CI: 0.03, 0.23), respectively. For RBC folate concentrations, the MDM was 329.4 nmol/L (95% CI: 243.9-414.9). For RBC folate insufficiency and deficiency, mPRs were 0.16 (95% CI: 0.08-0.30) and 0.05 (95% CI: 0.01-0.46), respectively.

Conclusions

Mandatory grain fortification with folic acid increases blood folate concentrations and decreases the risk of folate insufficiency and folate deficiency.
背景:用叶酸强化小麦粉、玉米粉和大米(即谷物)是全球重要的叶酸膳食来源。目前还没有系统的综述或荟萃分析评估强制性谷物强化对叶酸不足(使用血清/血浆叶酸和红细胞叶酸)、红细胞叶酸浓度或叶酸缺乏(使用红细胞叶酸)的影响。本研究评估了强制性强化叶酸对血清/血浆叶酸和红细胞(RBC)叶酸浓度的影响,以及基于这些生物标志物的叶酸缺乏和不足的风险。方法:在专业图书馆信息人员的协助下,检索PubMed和Embase。我们选择了来自强制性谷物强化的国家的研究,这些国家的标准中包括叶酸,如果他们报告了强化前和强化后叶酸状态结果的主要数据。我们使用随机效应模型在R中进行了meta分析,结果分别表示为连续和二元结果的均数元差异(MDM)或meta患病率(mPR)。所有元估计均附有95%置信区间(CI)。结果:我们筛选了4311篇文献,确定了30篇报道叶酸状态结果的文章(22篇报道平均血清/血浆或红细胞叶酸水平,17篇报道叶酸缺乏或不足的患病率)。约19%的研究在低收入或中等收入国家进行。强制性强化可改善叶酸状态,尽管各研究之间存在相当大的异质性(I2>73%)。对于血清/血浆叶酸浓度,所有研究的MDM为15.0 nmol/L (95% CI: 9.4-20.5)。对于血清/血浆叶酸不足和缺乏,mPR (95% CI)估计分别为0.17(0.08-0.37)和0.08(0.03-0.23)。对于红细胞叶酸浓度,MDM为329.4 nmol/L (95% CI 243.9-414.9)。红细胞叶酸不足和缺乏的mPRs (95% ci)分别为0.16(0.08-0.30)和0.05(0.01-0.46)。结论:用叶酸强制强化谷物可增加血叶酸浓度,降低叶酸不足和叶酸缺乏的风险。
{"title":"Impact of Mandatory Grain Fortification With Folic Acid on Population Folate Concentrations and the Risk of Folate Deficiency and Insufficiency: A Systematic Review and Meta-Analysis","authors":"Jessica Parker ,&nbsp;Amanuel Kisho ,&nbsp;Shuaikang Hou ,&nbsp;Michael Goodman ,&nbsp;Lauryn Cravens ,&nbsp;Mary Ellen Grap ,&nbsp;Helena Pachón","doi":"10.1016/j.tjnut.2025.101291","DOIUrl":"10.1016/j.tjnut.2025.101291","url":null,"abstract":"<div><h3>Background</h3><div>Wheat flour, maize flour, and rice (i.e., grain) fortification with folic acid is an important folate dietary source globally. There are no systematic reviews or meta-analyses evaluating the effect of mandatory grain fortification on folate insufficiency (using serum/plasma folate and red blood cell [RBC] folate), or folate deficiency using RBC folate.</div></div><div><h3>Objectives</h3><div>This study aimed to assess the effectiveness of mandatory grain fortification with folic acid on serum/plasma folate and RBC folate concentrations and the risk of folate deficiency and insufficiency based on these biomarkers.</div></div><div><h3>Methods</h3><div>We searched PubMed and Embase with assistance from a professional library informationist. We selected studies from countries with mandatory grain fortification that include folic acid in standards if they reported primary pre- and post-fortification data on folate status outcomes. We ran meta-analyses in R using random effects models with results expressed as meta-differences of means (MDMs) or meta-prevalence ratios (mPRs) for continuous and binary outcomes, respectively. All meta-estimates were accompanied by 95% confidence intervals (CIs).</div></div><div><h3>Results</h3><div>We screened 4311 documents, identifying 30 articles that reported folate status outcomes (22 reported mean serum/plasma or RBC folate, 17 reported prevalence of folate deficiency or insufficiency). About 19% of studies were conducted in low- or middle-income countries. Mandatory fortification improved folate status, albeit with considerable heterogeneity across studies (I<sup>2</sup><u>&gt;</u>73%). For serum/plasma folate concentrations, the MDM across all studies was 15.0 nmol/L (95% CI: 9.4, 20.5). For serum/plasma folate insufficiency and deficiency, the mPR estimates were 0.17 (95% CI: 0.08, 0.37) and 0.08 (95% CI: 0.03, 0.23), respectively. For RBC folate concentrations, the MDM was 329.4 nmol/L (95% CI: 243.9-414.9). For RBC folate insufficiency and deficiency, mPRs were 0.16 (95% CI: 0.08-0.30) and 0.05 (95% CI: 0.01-0.46), respectively.</div></div><div><h3>Conclusions</h3><div>Mandatory grain fortification with folic acid increases blood folate concentrations and decreases the risk of folate insufficiency and folate deficiency.</div></div>","PeriodicalId":16620,"journal":{"name":"Journal of Nutrition","volume":"156 3","pages":"Article 101291"},"PeriodicalIF":3.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145856633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Corrigendum to 'Determination of a serum 25-hydroxyvitamin D reference ranges in Japanese adults using fully automated liquid chromatography tandem mass spectrometry' [J. Nutr. 2023; 153: 1253-1264]. 用全自动液相色谱串联质谱法测定日本成人血清25-羟基维生素D参考范围的勘误表[J]。减轻。2023;153: 1253 - 1264)。
IF 3.8 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2026-03-01 Epub Date: 2026-02-07 DOI: 10.1016/j.tjnut.2026.101392
Hiroyasu Miyamoto, Daisuke Kawakami, Nobuhiro Hanafusa, Tsuyoshi Nakanishi, Masaki Miyasaka, Yutaka Furutani, Yuichi Ikeda, Kyoko Ito, Tomohiro Kato, Keitaro Yokoyama, Shoutaro Arakawa, Mitsuru Saito, Tadasu Furusho, Tomokazu Matsuura, Sae Ochi
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引用次数: 0
Chemical Analysis of Controlled Diets High in and Free of Ultraprocessed Foods and Proof-of-Concept Findings: Reducing Ultraprocessed Food Consumption May Lower Diabetes Risk in Midlife Adults 对高和不含超加工食品(UPF)的控制饮食的化学分析和概念验证发现:减少超加工食品的消费可能降低中年成年人患糖尿病的风险。
IF 3.8 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2026-03-01 Epub Date: 2026-01-22 DOI: 10.1016/j.tjnut.2026.101370
Bailey T Capra , Summer Hudson , Katherine M Phillips , Elaina L Marinik , Eleni Laskaridou , Aubrey L Johnson , Evan A Wilson , Mengyi Dong , Lawrence A David , Nolan Ives , Jordan Troob , Jun Zeng , Jyoti T Savla , Valisa E Hedrick , Kevin P Davy , Brenda M Davy

Background

Ultraprocessed food (UPF) intake is associated with increased type 2 diabetes (T2D) risk. No controlled feeding trial has investigated UPF exposure and T2D risk or performed chemical analysis of UPF study diets.

Objectives

To design and chemically validate nutritionally matched high- and non-UPF diets and to examine the effects of a 6-wk high-UPF diet on T2D risk in midlife adults.

Methods

High-UPF (81% UPF energy) and non-UPF (0% UPF energy) diets were designed and chemically analyzed to validate energy, macro- and micronutrients, and other dietary components. Plant-based ingredients in the diet were also assessed by FoodSeq. After a 2-wk standardized lead-in diet (59% UPF), 18 adults aged 40 to 65 y were randomly assigned to a eucaloric high-UPF or non-UPF diet for 6 wk. Insulin sensitivity and 24-h glycemic control were measured at baseline and post intervention. Serum global metabolomic profiles were evaluated.

Results

The high-UPF and non-UPF diets were well-matched and consistent with planned energy and nutrient targets. FoodSeq indicated that the high-UPF diet showed more frequent detection of UPF ingredients, such as guar (gum) and corn (corn starch and corn meal). There were no changes in Matsuda Index or HOMA-IR in the pilot trial, however glucose AUC (high-UPF: 13431 ± 3914 mg·min/dL to 13656 ± 4005 mg·min/dL; non-UPF: 15349 ± 4068 mg·min/dL to 14,221 ± 3722 mg·min/dL, P = 0.054; ES = 0.52) and mean amplitude of glycemic excursions (MAGE) (high-UPF: 37.6 ± 10.1 mg/dL to 40.2 ± 7.3 mg/dL; non-UPF: 44.5 ± 11.0 mg/dL to 39.3 ± 9.5mg/dL, P = 0.055; ES = 0.51) tended to worsen in the high-UPF vs non-UPF groups. In the non-UPF group, reductions in the food contact chemical 2,4-ditert-butylphenol and in the thermal food processing by-product N6-carboxymethyllysine were observed.

Conclusions

Findings provide preliminary evidence that reducing UPF may reduce T2D risk. Large-scale trials are warranted to evaluate causal effects.
背景:超加工食品(UPF)摄入与2型糖尿病(T2D)风险增加有关。没有对照喂养试验调查UPF暴露和T2D风险,也没有对UPF研究饲料进行化学分析。目的:设计和化学验证营养匹配的高upf和非upf饮食,并检查6周高upf饮食对中年成年人T2D风险的影响。方法:设计高UPF (81% UPF能量)和非UPF (0% UPF能量)饲粮,并进行化学分析,以验证能量、宏量营养素和微量营养素以及其他膳食成分。FoodSeq也对饮食中的植物性成分进行了评估。经过2周的标准化导入饮食(58% UPF), 18名40-65岁的成年人被随机分配到高UPF或无UPF饮食6周。在基线和干预后测量胰岛素敏感性和24小时血糖控制。评估血清整体代谢组学特征。结果:高upf和非upf饮食匹配良好,与计划的能量和营养目标一致。FoodSeq表明,高UPF日粮对瓜尔胶(胶)和玉米(玉米淀粉、玉米粉)等UPF成分的检测频率更高。在预试验中,Matsuda指数或HOMA-IR没有变化,但葡萄糖曲线下面积(AUC)(高upf: 13431±3914mg·min/dL至13656±4005mg·min/dL;非upf: 15349±4068mg·min/dL至14221±3722mg·min/dL, p=0.054; ES=0.52)和平均血糖漂移幅度(MAGE)(高upf: 37.6±0.1mg/dL至40.2±7.3mg/dL;非upf: 44.5±11.0 mg/dL至39.3±9.5mg/dL, p=0.055; ES=0.51)在高upf组与非upf组之间有恶化的趋势。在非upf组中,观察到食品接触化学物质2,4-二叔丁基酚和热食品加工副产物n6 -羧甲基赖氨酸的减少。讨论:研究结果提供了初步证据,表明减少UPF可降低T2D风险。有必要进行大规模试验来评估因果关系。
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引用次数: 0
Personalized Dietary Feedback Mediates the Association of Dietary Self-Monitoring Adherence and Weight Loss: A Post Hoc Analysis of the Personal Diet Study 个性化饮食反馈介导饮食自我监控依从性和体重减轻的关联:个人饮食研究的事后分析。
IF 3.8 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2026-03-01 Epub Date: 2026-01-13 DOI: 10.1016/j.tjnut.2026.101364
Lauren T Berube , Chan Wang , Margaret Curran , Mary Lou Pompeii , Lu Hu , Souptik Barua , Huilin Li , David E St-Jules , Antoinette Schoenthaler , Eran Segal , Michael Bergman , Collin J Popp

Background

Dietary self-monitoring is central to effective personalized nutrition, providing critical data to inform tailored feedback and support behavior change.

Objectives

To examine the impact of dietary self-monitoring adherence and the indirect effect of personalized scores to predict postprandial glycemic response (PPGR) on weight loss.

Methods

Post hoc analysis of the Personal Diet Study that investigated the impact of a machine algorithm-based diet that integrates clinical and microbiome features (Personalized) compared with a standard, low-fat diet (Standardized) on weight loss. All participants received behavioral counseling and were encouraged to self-monitor dietary intake via a smartphone application. Personalized received algorithm-based scores (1–5) on predicted PPGR to foods logged (PPGR score; 1–2 indicating optimal; 3–5 suboptimal). Dietary self-monitoring adherence was the percentage of days logging ≥50% of target calories, classified as high or low. PPGR score quality was calculated by the proportion of optimal predicted PPGR scores per day; defined as “high-PPGR quality” days when this exceeded the group average. Mediation analysis assessed whether PPGR quality mediated the relationship between dietary self-monitoring adherence and weight loss.

Results

Participants with high self-monitoring adherence lost an average of 4.2% of their baseline weight, compared with 1.9% among those with low adherence (P = 0.016). High self-monitoring adherence was associated with a greater likelihood of achieving ≥5% weight loss (adjusted odds ratio: 3.67; 95% confidence interval: 1.63, 8.50). Within Personalized, high-PPGR quality mediated 53.4% of the total effect of self-monitoring adherence on weight loss (P < 0.001).

Conclusion

Consistent self-monitoring coupled with personalized feedback may significantly enhance weight loss in a precision nutrition approach.
This trial was registered at https://clinicaltrials.gov/ as NCT03336411.
背景:饮食自我监测是有效的个性化营养的核心,为提供量身定制的反馈和支持行为改变提供关键数据。目的:探讨饮食自我监测依从性的影响以及个性化评分预测餐后血糖反应(PPGR)对减肥的间接影响。方法:对个人饮食研究进行事后分析,该研究调查了基于机器算法的结合临床和微生物组特征的饮食(个性化)与标准低脂饮食(标准化)对减肥的影响。所有参与者都接受了行为咨询,并被鼓励通过智能手机应用程序自我监测饮食摄入量。个性化的收到基于算法的预测PPGR评分(1 -5),记录食物(PPGR评分;1-2表示最佳;3-5表示次优)。饮食自我监测依从性是记录目标卡路里≥50%的天数百分比,分为高或低。以每日最优预测PPGR评分比例计算PPGR评分质量;定义为“高ppgr质量”的日子,这超过了组的平均水平。中介分析评估PPGR质量是否介导饮食自我监测依从性与体重减轻之间的关系。结果:高自我监控依从性的参与者平均减轻了基线体重的4.2%,而低依从性的参与者平均减轻了1.9% (p=0.016)。高度的自我监测依从性与实现≥5%体重减轻的更大可能性相关(aOR=3.67, 95% CI: 1.63-8.50)。在个性化中,高PPGR质量介导了53.4%的自我监测依从性对减肥的总影响(p结论:一致的自我监测与个性化反馈相结合可以显著增强精确营养方法的减肥效果)。临床试验注册:NCT03336411。
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引用次数: 0
Efficacy of Oral Vitamin B-12 at 1000 μg Compared with 2000 μg on Neuropathic Outcomes in Patients with Diabetic Peripheral Neuropathy and Low Serum Vitamin B-12: a Randomized Clinical Trial 口服维生素B12 1000 mcg与2000 mcg对糖尿病周围神经病变和低血清维生素B12患者的神经病变结局的疗效:一项随机临床试验
IF 3.8 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2026-03-01 Epub Date: 2026-01-16 DOI: 10.1016/j.tjnut.2026.101368
Asieh Mansour , Atefeh Amrollahi Bioky , Hadis Gerami , Atie Sadat Khorasanian , Amir Hossein Esmaeili , Hamid Reza Fateh , Hamid Reza Aghaei Meybodi , Mohammad Reza Mohajeri-Tehrani , Roya Safyari , Hossein Adibi , Sayed Mahmoud Sajjadi-Jazi

Background

Diabetic peripheral neuropathy (DPN) is the most common complication of type 2 diabetes mellitus (T2DM) and is associated with substantial morbidity, mortality, and healthcare costs. Vitamin B-12 plays a critical role in nerve protection and regeneration. However, clinical evidence regarding the effectiveness and optimal dose of vitamin B-12 supplementation for managing DPN in individuals with low serum vitamin B-12 levels remains inconclusive.

Objectives

The aim of this study is to compare the effects of 2 different daily doses of oral vitamin B-12 supplementation on neuropathic parameters in patients with DPN and low serum vitamin B-12.

Methods

This 16 wk, randomized controlled trial enrolled adults with T2DM, DPN, and low serum vitamin B12 levels (<200 pg/mL). Patients were randomly assigned (1:1) to receive either 1000 μg or 2000 μg of oral vitamin B12 (methylcobalamin) daily. The primary outcomes were changes in neuropathic parameters, assessed by the numerical rating scale (NRS), Michigan neuropathy screening instrument examination (MNSIE), and neuropathy disability score (NDS). Secondary outcomes included serum B-12 levels and metabolic parameters.

Results

Of the 35 participants randomly assigned, 32 completed the 16-wk trial. Serum vitamin B-12 levels increased significantly in both groups, with a greater rise noted in the 2000 μg group (P = 0.049). Both the 1000 μg and 2000 μg groups experienced significant improvements in neuropathy symptoms. Mean ± SD NRS scores decreased from 7.00 ± 2.03 to 5.60 ± 2.19 (P = 0.016) in the 1000 μg group, and from 6.18 ± 2.40 to 4.42 ± 2.50 (P = 0.007) in the 2000 μg group. Similarly, MNSIE scores improved from 5.70 ± 1.66 to 5.22 ± 1.99 (P = 0.033) and from 5.40 ± 1.68 to 4.47 ± 2.25 (P = 0.022), respectively. No significant difference in these neuropathic outcomes was observed between groups. The NDS remained unchanged in both groups (P > 0.05). In addition, the 1000 μg dose was associated with significant improvements in hemoglobin A1c levels, whereas the 2000 μg dose was linked to a significant decline in estimated glomerular filtration rate.

Conclusions

In patients with DPN and low serum vitamin B-12 levels, 16 wk of daily supplementation with either 1000 μg or 2000 μg of vitamin B-12 similarly improves neuropathic symptoms. Apart from higher serum B-12 levels, the 2000 μg dose did not offer additional neuropathic or metabolic benefits.
目的:比较两种不同剂量每日口服维生素B12对糖尿病周围神经病变(DPN)和低血清维生素B12患者神经病理参数的影响。方法:这项为期16周的随机对照试验招募了患有2型糖尿病(T2DM)、DPN和血清维生素B12水平低的成年人(结果:在35名随机参与者中,32名完成了为期16周的试验。血清维生素B12水平在两组中都显著增加,2000微克组的上升幅度更大(p=0.049)。摄入1000微克和2000微克组的神经病变症状都有显著改善。平均±标准差NRS评分在1000 mcg组从7.00±2.03下降到5.60±2.19 (p=0.016),在2000 mcg组从6.18±2.40下降到4.42±2.50 (p=0.007)。同样,MNSIE评分从5.70±1.66提高到5.22±1.99 (p=0.033),从5.40±1.68提高到4.47±2.25 (p=0.022)。这些神经病变结果在两组间无显著差异。两组患者NDS无显著差异(p < 0.05)。此外,1000 mcg剂量与血红蛋白A1c (HbA1c)水平的显著改善有关,而2000 mcg剂量与估计肾小球滤过率(eGFR)的显著下降有关。结论:在血清维生素B12水平低的DPN患者中,每天补充1000 mcg或2000 mcg维生素B12 16周同样可以改善神经病变症状。除了较高的血清B12水平外,2000mcg剂量并没有提供额外的神经病变或代谢益处。
{"title":"Efficacy of Oral Vitamin B-12 at 1000 μg Compared with 2000 μg on Neuropathic Outcomes in Patients with Diabetic Peripheral Neuropathy and Low Serum Vitamin B-12: a Randomized Clinical Trial","authors":"Asieh Mansour ,&nbsp;Atefeh Amrollahi Bioky ,&nbsp;Hadis Gerami ,&nbsp;Atie Sadat Khorasanian ,&nbsp;Amir Hossein Esmaeili ,&nbsp;Hamid Reza Fateh ,&nbsp;Hamid Reza Aghaei Meybodi ,&nbsp;Mohammad Reza Mohajeri-Tehrani ,&nbsp;Roya Safyari ,&nbsp;Hossein Adibi ,&nbsp;Sayed Mahmoud Sajjadi-Jazi","doi":"10.1016/j.tjnut.2026.101368","DOIUrl":"10.1016/j.tjnut.2026.101368","url":null,"abstract":"<div><h3>Background</h3><div>Diabetic peripheral neuropathy (DPN) is the most common complication of type 2 diabetes mellitus (T2DM) and is associated with substantial morbidity, mortality, and healthcare costs. Vitamin B-12 plays a critical role in nerve protection and regeneration. However, clinical evidence regarding the effectiveness and optimal dose of vitamin B-12 supplementation for managing DPN in individuals with low serum vitamin B-12 levels remains inconclusive.</div></div><div><h3>Objectives</h3><div>The aim of this study is to compare the effects of 2 different daily doses of oral vitamin B-12 supplementation on neuropathic parameters in patients with DPN and low serum vitamin B-12.</div></div><div><h3>Methods</h3><div>This 16 wk, randomized controlled trial enrolled adults with T2DM, DPN, and low serum vitamin B12 levels (&lt;200 pg/mL). Patients were randomly assigned (1:1) to receive either 1000 μg or 2000 μg of oral vitamin B12 (methylcobalamin) daily. The primary outcomes were changes in neuropathic parameters, assessed by the numerical rating scale (NRS), Michigan neuropathy screening instrument examination (MNSIE), and neuropathy disability score (NDS). Secondary outcomes included serum B-12 levels and metabolic parameters.</div></div><div><h3>Results</h3><div>Of the 35 participants randomly assigned, 32 completed the 16-wk trial. Serum vitamin B-12 levels increased significantly in both groups, with a greater rise noted in the 2000 μg group (<em>P</em> = 0.049). Both the 1000 μg and 2000 μg groups experienced significant improvements in neuropathy symptoms. Mean ± SD NRS scores decreased from 7.00 ± 2.03 to 5.60 ± 2.19 (<em>P</em> = 0.016) in the 1000 μg group, and from 6.18 ± 2.40 to 4.42 ± 2.50 (<em>P</em> = 0.007) in the 2000 μg group. Similarly, MNSIE scores improved from 5.70 ± 1.66 to 5.22 ± 1.99 (<em>P</em> = 0.033) and from 5.40 ± 1.68 to 4.47 ± 2.25 (<em>P</em> = 0.022), respectively. No significant difference in these neuropathic outcomes was observed between groups. The NDS remained unchanged in both groups (<em>P</em> &gt; 0.05). In addition, the 1000 μg dose was associated with significant improvements in hemoglobin A1c levels, whereas the 2000 μg dose was linked to a significant decline in estimated glomerular filtration rate.</div></div><div><h3>Conclusions</h3><div>In patients with DPN and low serum vitamin B-12 levels, 16 wk of daily supplementation with either 1000 μg or 2000 μg of vitamin B-12 similarly improves neuropathic symptoms. Apart from higher serum B-12 levels, the 2000 μg dose did not offer additional neuropathic or metabolic benefits.</div></div>","PeriodicalId":16620,"journal":{"name":"Journal of Nutrition","volume":"156 3","pages":"Article 101368"},"PeriodicalIF":3.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145998342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Altered Dynamics in Splanchnic Amino Acid Extraction During Early Sepsis Recovery in Pigs: Whole Body Compared with Interorgan Balance Assessments 在猪早期败血症恢复期间内脏氨基酸提取的动力学改变:全身与器官间平衡评估。
IF 3.8 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2026-03-01 Epub Date: 2026-01-08 DOI: 10.1016/j.tjnut.2025.101350
Gabriella AM ten Have , John J Thaden, Mariëlle PKJ Engelen, Nicolaas EP Deutz

Background

Establishing the metabolic fate of nutrients from food intake is crucial for interpreting the benefits of food interventions. Using stable isotopes labeled amino acids (AA) such as L-phenylalanine (Phe) during feeding allows for the determination of first-pass splanchnic extraction (SPE) on a whole-body level (WbSPE). The relationship between this measure and the total fraction of food-derived Phe retained by the splanchnic area has not been validated.

Objective

Therefore, we compared WbSPE with the enteral-derived Phe and actual PheSPE, measured by splanchnic-trans-organ fluxes in both healthy and early sepsis recovery states.

Methods

In 25 catheterized healthy control or Pseudomonas-induced-septic pigs (±25 kg), primed-continuous intravenous infusions of L-[ring-D5]-Phe and continuous enteral infusion of an AA mixture (per kg/h: 0.031 g N, 0.78 g maltodextrin), containing L-[1-13C]-Phe, were administered for 6 h. We collected arterial, portal, and hepatic venous blood and measured plasma enrichments and tracee concentrations by liquid chromatography-mass spectrometry (LC-MS/MS). Statistical analysis was performed using GraphPad Prism. Best-fit group means from the last 3 h were compared using an unpaired t-test. The data are presented as mean [95% confidence interval].

Results

In the healthy control group, WbSPE was 38[16,61]% (P<0.0001) of the enteral-derived Phe SPE and tended to be 16[-1,34]% (P=0.0761) higher than the actual Phe tracee SPE. However, WbSPE was the same as first-pass SPE. In the septic group, WbSPE was increased 29[8,50]%, (P=0.001) whereas the actual Phe tracee SPE remained unchanged, whereas portal-drained viscera fluxes showed a diminished release of enteral-derived tracee Phe (P < 0.0001).

Conclusions

WbSPE reflects first-pass SPE rather than enteral-derived tracee SPE or the actual SPE. Our observations suggest that whole-body level calculated SPE may be challenged in estimating food-derived amino acid SPE in response to steady meal intake. During early sepsis recovery, less AA are absorbed, and this changes the dynamics between first-pass and the actual SPE.
背景:从食物摄入中确定营养物质的代谢命运对于解释食物干预的益处至关重要。在饲养过程中使用稳定同位素标记氨基酸(AA),如l -苯丙氨酸(Phe),可以在全身水平(WbSPE)上测定第一次内脏提取(SPE)。这种测量与内脏区保留的食物来源Phe的总分数之间的关系尚未得到验证。目的:因此,我们比较了WbSPE与肠源性Phe和实际PheSPE,在健康和早期败血症恢复状态下通过内脏-跨器官通量测量。方法:健康对照猪25头(±25 kg),连续静脉滴注L-[ring-D5]-苯丙氨酸,连续肠内滴注含有L-[1-13C]-苯丙氨酸的AA混合物(每kg/h: 0.031 g N, 0.78 g麦芽糊精),持续6 h。我们收集了动脉、门静脉和肝静脉血,并通过LC-MS/MS测量了血浆富集和痕量浓度。使用Graphpad Prism进行统计分析。使用非配对t检验比较最近三小时的最佳拟合组均值。数据以平均值[95% CI]表示。结果:在健康对照组中,WbSPE为38%([16%,61%])。结论:WbSPE反映的是一过期SPE,而不是肠源性微量SPE或实际SPE。我们的观察结果表明,在估计稳定膳食摄入的食物来源AA微量SPE时,全身水平计算的SPE可能会受到挑战。在早期脓毒症恢复过程中,吸收的原子吸收较少,这改变了第一次通过和实际SPE之间的动态关系。
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引用次数: 0
Integrative Nutrigenomics Approach in Polycystic Ovarian Syndrome: Targeting Gene-Diet Interactions for Personalized Nutraceutical Interventions 多囊卵巢综合征的综合营养基因组学方法:针对基因-饮食相互作用进行个性化营养保健干预。
IF 3.8 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2026-03-01 Epub Date: 2026-01-21 DOI: 10.1016/j.tjnut.2026.101371
Shalini Singh , Maneesha Rana , Satyendra Kumar Rajput , Rajesh Kumar Mishra , Shalini Mishra , Vedpriya Arya
Women of reproductive age who suffer from polycystic ovarian syndrome (PCOS), a common and complex endocrine–metabolic illness, are characterized by hyperandrogenism, anovulation, insulin resistance, and persistent inflammation. Its multifaceted etiology includes psychological, environmental, genetic, and epigenetic variables. The potential of nutrigenomics in individualized treatment techniques is highlighted by new research that implicates gene-diet interactions in modifying PCOS susceptibility, phenotypic expression, and therapeutic results. Numerous gene polymorphisms, including those involving the fat mass and obesity-associated gene, methylenetetrahydrofolate reductase, and transcription factor 7-like 2, have been linked to insulin signaling, metabolic disorders, obesity risk, and hormonal imbalances in PCOS. At the same time, dietary bioactives such as flavonoids, omega-3 fatty acids, and folate have demonstrated anti-inflammatory, insulin-sensitizing, and epigenetic-modulating properties, suggesting that they may be utilized to target gene-nutrient interactions and mitigate illness. In order to maximize individualized nutritional therapy for PCOS, this review seeks to investigate integrative nutrigenomics approaches that incorporate dietary interventions with genetic profiling. The review offers a thorough synthesis of recent research by investigating the molecular mechanisms by which gene variations interact with functional nutrition. It determines possible nutraceutical targets for customized treatment. Additionally, the translational significance of these integrative methods is examined in enhancing precision nutrition in PCOS therapy, lowering metabolic risks, and improving clinical outcomes. However, this review underlines the need for an interdisciplinary approach that combines genetics, nutritional science, and clinical practice to promote evidence-based, patient-centric medications for PCOS.
多囊卵巢综合征(PCOS)是一种常见而复杂的内分泌代谢疾病,育龄妇女患有多囊卵巢综合征(PCOS),其特征是雄激素分泌过多、无排卵、胰岛素抵抗和持续炎症。其多方面的病因包括心理、环境、遗传和表观遗传变量。新的研究表明,基因-饮食相互作用可改变多囊卵巢综合征的易感性、表型表达和治疗结果,这突显了营养基因组学在个体化治疗技术中的潜力。许多基因多态性,包括涉及脂肪量和肥胖相关基因(FTO)、亚甲基四氢叶酸还原酶(MTHFR)和转录因子7-样2 (TCF7L2)的基因多态性,与多囊卵巢综合征的胰岛素信号传导、代谢紊乱、肥胖风险和激素失衡有关。同时,黄酮类化合物、omega-3脂肪酸和叶酸等膳食生物活性物质已被证明具有抗炎、胰岛素增敏和表观遗传调节特性,这表明它们可能被用于靶向基因-营养相互作用和减轻疾病。为了最大限度地提高多囊卵巢综合征的个体化营养治疗,本综述旨在研究将饮食干预与遗传谱结合起来的综合营养基因组学方法。这篇综述通过调查基因变异与功能性营养相互作用的分子机制,全面综合了最近的研究。它确定可能的营养目标,为定制治疗。此外,这些综合方法在PCOS治疗中加强精确营养,降低代谢风险和改善临床结果方面的转化意义也得到了检验。然而,这篇综述强调需要一种跨学科的方法,将遗传学、营养科学和临床实践相结合,以促进以证据为基础、以患者为中心的多囊卵巢综合征药物治疗。
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引用次数: 0
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Journal of Nutrition
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